BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 2802210 · Received October 23, 2012

    Report

    Report Number
    1531186-2012-01231
    Date Received
    October 23, 2012
    Report Date
    October 19, 2012
    Manufacturer
    JUMAO MEDICAL EQUIPMENT
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    THE UPHOLSTERY FOR THIS CHAIR IS COMPLETELY TORN APART AT THE SEAM. THE REPORTER OF THIS EVENT WAS CONTACTED FOR ADDITIONAL ON THIS INCIDENT. IT WAS LEARNED THE WHEELCHAIR WAS ISSUED TO AN END USER WHO RESIDES IN AN ASSISTED LIVING FACILITY. HE REPORTEDLY USES THIS CHAIR FULL TIME. ALSO NOTED WAS THE BAR UNDER THE SEAT IS COMING THROUGH THE SEAT. NO REPORTED INJURY HAS OCCURRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO MEDICAL EQUIPMENT V20RFR

    Patients

    Seq Age Sex Outcome Treatment
    1 55 MO Other